NPIMap

Organization Active NPI

Milestone Physical Therapy and Training LLC

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1760152458
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MILESTONE PHYSICAL THERAPY AND TRAINING LLC
Practice address
4014 Brockton Manor South Dr
Greenwood, IN 46143-8410
Phone
(317) 697-9117
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradley HowellNPI 1679888788
Title
Owner/PT
Phone
(317) 697-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4014 Brockton Manor South Dr
Greenwood, IN 46143-8410

Mailing address

4014 Brockton Manor South Dr
Greenwood, IN 46143-8410
Phone (317) 697-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011000360 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385042035 Receives reassigned benefits from 6 practitioners
Practice locations: Indianapolis, IN; Greenwood, IN; Fishers, IN

National Provider Directory

National Provider Directory

Locations

9093 Technology Dr
Ste 102
Fishers, IN 46038
Phone (317) 207-7536

9093 Technology Dr
Fishers, IN 46038

3100 Meridian Parke Dr
Ste Uv
Greenwood, IN 46142
Phone (317) 207-7536

3100 Meridian Parke Dr
Ste U
Greenwood, IN 46142

9135 Harrison Park Ct
Ste U
Indianapolis, IN 46216

9135 Harrison Park Ct
Indianapolis, IN 46216
Phone (317) 207-7536

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1760152458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 BROCKTON MANOR SOUTH DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438410",
            "telephone_number": "317-697-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 BROCKTON MANOR SOUTH DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438410",
            "telephone_number": "317-697-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PHYSICAL THERAPY AND TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "317-697-9117"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.